Table 2 Comparison of the current national service framework for coronary heart disease cholesterol screening criteria, the Sheffield tables, age thresholds, and estimated risk assessments. Values are percentages (95% confidence intervals) unless stated otherwise


Strategy to identify people for cholesterol measurement

Adults (aged 30-74 years with no previous history of MI, stroke, angina) identified for cholesterol measurement

People at ≥ 15% risk identified

No of cholesterol measurements needed to identify one person at ≥ 15% risk (yield)

National service framework criteria

43.4 (42.2 to 44.6)

81.2 (80.2 to 82.2)

3.2

Sheffield tables

73.1 (72.0 to 74.2)

99.91 (99.83 to 99.99)

4.4

All people aged ≥50 years

46.3 (45.1 to 47.5)

92.8 (92.1 to 93.4)

2.9

All people whose estimated risk calculated by using fixed TC:HDL (5.3 in men and 4.6 in women) is ≥15%

17.8 (16.8 to 18.7)

75.9 (74.8 to 76.9)

1.4

National service framework criteria plus Sheffield tables

78.4 (77.4 to 79.4)

99.91 (99.83 to 99.99)

4.7

National service framework criteria plus all those ≥50 years

60.9 (59.8 to 62.2)

97.5 (97.2 to 97.9)

3.7

National service framework criteria plus all those whose estimated risk calculated by using fixed TC:HDL is ≥15%

46.8 (45.5 to 48.0)

93.4 (92.7 to 93.9)

3.0

MI=myocardial infarction; TC:HDL=ratio of total cholesterol to high density lipoprotein cholesterol.




Access jobs at BMJ Careers
Whats new online at Student 

BMJ